<Unavail>

LBN: Wal-Mart Stores East , Lp
<Unavail> is an health care organization with primary practice located at 3536 W Mount Vernon St , Springfield MO 65802-5207. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Wal-Mart Stores East , Lp can be contacted via phone (417) 616-2674, or through Mcmullin, Matthew via phone (479) 371-8711.

Contact Information

Primary practice address
3536 W Mount Vernon St Springfield MO 65802-5207
Phone: (417) 616-2674
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcmullin, Matthew
Phone: (479) 371-8711

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2012034758 Missouri

Profile Details

NPI number 1508115726
LBN Legal business name Wal-Mart Stores East , Lp
DBA Doing business as <Unavail>
Authorized official Mcmullin, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2012
Last updated May 30th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508115726 NPPES
Other 2136760 PK
MEDICAID 1508115726 PK

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